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This is VAERS ID 25065

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25065
VAERS Form:
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B / WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: INJECT SITE REACT, TENOSYNOVITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 12/8/2009

VAERS ID: 25065 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-12 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) / WYETH WYETH PHARMACEUTICALS, INC - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis, INJECT SITE REACT, TENOSYNOVITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 8/31/2010

VAERS ID: 25065 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 7/7/2013

VAERS ID: 25065 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 12/14/2016

VAERS ID: 25065 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 5/14/2017

VAERS ID: 25065 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 9/14/2017

VAERS ID: 25065 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 2/14/2018

VAERS ID: 25065 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 6/14/2018

VAERS ID: 25065 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 8/14/2018

VAERS ID: 25065 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 9/14/2018

VAERS ID: 25065 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.


Changed on 10/14/2018

VAERS ID: 25065 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:New Jersey
Vaccinated:1989-10-24
Onset:1989-11-03
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Tenosynovitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Diabetic & Cystic fibrosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089143

Write-up: Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25065&WAYBACKHISTORY=ON


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